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Journal of General Internal Medicine
Published in: Journal of General Internal Medicine 1/2019

01-01-2019 | Editorial

Time to Listen More and Talk Less

Authors: Barbara G. Bokhour, PhD, Sarah L. Cutrona, MD, MPH

Published in: Journal of General Internal Medicine | Issue 1/2019

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Excerpt

In 1984, Elliot Mishler published a book called the Discourse of Medicine1 in which he argued that patients and providers bring different stories to a clinical encounter—the former reflecting the world in which the patient manages their health and illness and the latter reflecting the biomedical definitions of disease and treatment. He showed that providers far too often interrupt the patient stories in favor of a more biomedical version of the person in front of them. It was the beginning of reflections on the need to bridge these two stories in order to foster better communication and patient-centered care. …
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Mishler EG. The Discourse of Medicine: Dialectics of Medical Interviews. Norwood: Ablex Publishing; 1984.
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Levinson W, Lesser CS, Epstein RM. Developing physician communication skills for patient-centered care. Health Affairs 2010;29(7):1310–1318.CrossRef
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Yarnall KS, Pollak KI, Ostbye T, Krause KM, Michener JL. Primary care: is there enough time for prevention? Am J Public Health 2003;93(4):635–641.CrossRef
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Osborn R, Moulds D, Schneider EC, Doty MM, Squires D, Sarnak DO. Primary Care Physicians In Ten Countries Report Challenges Caring For Patients With Complex Health Needs. Health Aff (Millwood) 2015;34(12):2104–2112.CrossRef
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Metadata
Title
Time to Listen More and Talk Less
Authors
Barbara G. Bokhour, PhD
Sarah L. Cutrona, MD, MPH
Publication date
01-01-2019
Publisher
Springer US
Published in
Journal of General Internal Medicine / Issue 1/2019
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI
https://doi.org/10.1007/s11606-018-4711-4

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